Goals

What are the three biggest changes you want to make in your life over the next three years? *

Chronology- Your Timeline

Please be honest and open, and share as much as possible!

What would you say have been your three greatest (or favorite) accomplishments in your life to date? *

What is the hardest thing you have ever had to overcome? *

Who are - or have been- your major role models, and why? Would you be willing to add some more? *

What major transitions have you had in the past two years? (i.e. – entering or approaching a new decade of life, a new relationship, a new job, a new role, a new residence, changes in children’s ages/stages of life, separation, divorce, death of a loved one, birth of a child, marriage, etc.) *

Your Life

What has shaped your life? Reflect on what you have learned from your life by sifting through your memories for patterns, meaning, and values.

Who are the key people in your life and what do they provide for you? *

Is your life one of your choosing? If not, which parts are being chosen for you? *

On a scale of 1 – 10, 10 = HIGH, please provide a number that represents your current level or degree of stress: *